Fillable Notification of a Child or Young Person Missing (Rochdale Metropolitan Borough Council)

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Notification of a Child or Young Person Missing (Rochdale Metropolitan Borough Council)

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The Notification of a Child or Young Person Missing (Rochdale Metropolitan Borough Council) form is 4 pages long and contains:

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Please r
eturn completed form to:
cme@rochdale.gov.uk
Tel: 01706 925139
Notification of a Child or Young Person Missing from Education
Information provided may be shared with fellow professionals under Schedule 2 of the Data Protection Act 1998
CME Named Officer details for correspondence:
Katie Digiorgi – CME Officer
Fair Access Team
N1 Riverside
Rochdale
OL11 1XU
Telephone Number: 01706 925139 Mobile Number: 07800 672035
Email: katie.digiorgi@rochdale.gov.uk katie.digiorgi@rochdale.gcsx.gov.uk
Preferred email address: cme@rochdale.gov.uk
Name
of
Referrer
Designation
Contact
Number Date
CHILD(REN)’S DETAILS (please include details of any pre-school and/or post 16 children if you are aware of them)
NAME OF
SCHOOL:
P
lease select the school from the drop down menu. If the school is not
listed or
you are from another LA, please detail this in the next column.
OTHER:
Surname Forename Gender DOB NCY UPN Ethnicity
Language spoken
at home
ADDRESS DETAILS (please include postcode)
CME 1
Select School Name
Please r
eturn completed form to:
cme@rochdale.gov.uk
Tel: 01706 925139
Last known address in Rochdale
Forwarding address (if known)
Local
Authority
Any known previous addresses
Country of Origin (if
entry to UK is less
than 6 month)
PARENT/GUARDIAN & OTHER RELATION DETAILS
Parent / Guardian Name (1) Parental responsibility?
Any other names that this person may be
known as?
Same address as child?
Yes / No
Parent / Guardian Name (2) Parental responsibility?
Yes / No
Any other names that this person may be
also known as?
Same address as child?
Yes / No
Please detail all contact numbers held,
whether still in use or not
Please detail all email addresses on file
Contact details/telephone numbers for
family/friends?
SCHOOL HISTORY
Date that the child
started at your
Date that the child
last attended
school?
Percentage
attendance
Is the child still
on roll?
Yes / No
Please return completed form to:
cme@rochdale.gov.uk
Tel: 01706 925139
school?
Name of destination
school?
Local Authority?
Phone Number
(if known)
intended start
OTHER AGENCY INVOLVEMENT
Name Designation Service Telephone Number Email address
Current
involvement?
Y / N
Y / N
FURTHER DETAILS (Please ensure this section is completed)
C4C / LAC
Yes / No
CiN
Yes / No
CP Plan
Yes / No
CP Concerns*
Yes / No
EHCP / SEN
Yes / No
CAF
Yes / No
GRT Family
Yes / No
Asylum Seeker
Yes / No
History of
exclusions
Yes / No
Concerns
RE: Attendance
Yes / No
YOT
Involvement
Yes / No
Is the child known
to Young Carers?
Yes / No
Domestic
Violence Issues
Yes / No
Educated at
home
Yes / No
Disability or
medical issues
Yes / No
Is the child known
to Early Help?
Yes / No
Comments:
*Please provide details or
relevant dates.
Reason for Referral
Please return completed form to:
cme@rochdale.gov.uk
Tel: 01706 925139
Confirmation of checks undertaken:
In order to comply with the Government policy on the Safeguarding of Children missing from education, please ensure the following checks have been
undertaken before referring to CME
Have all contact numbers been telephoned & email addresses tried?
Yes / No
Has a letter been sent to the last known address?
Yes / No
Has a home visit been conducted?
Yes / No
Outcome?
Have checks been made with friends,
neighbours, extended family?
Yes / No
Outcome?
Thank you for your referral, please return the completed form to the CME Team
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Notification of a Child or Young Person Missing (Rochdale Metropolitan Borough Council)

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Completed 10 December 2020

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